Healthcare Provider Details

I. General information

NPI: 1609813583
Provider Name (Legal Business Name): AMBULATORY MEDICAL ANESTHESIA SERVICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 SWEET HOME RD
AMHERST NY
14226-1241
US

IV. Provider business mailing address

PO BOX 71852
PHILADELPHIA PA
19176-1852
US

V. Phone/Fax

Practice location:
  • Phone: 716-831-9435
  • Fax:
Mailing address:
  • Phone: 716-389-3291
  • Fax: 716-639-1382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID ANTHONE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 716-389-3291